|
Please fill out the form below.
You must fax your organization's W-9 Form to (713) 821-2230. A request cannot be processed without a W-9 Form. You can obtain a W-9 Form from the IRS website.
If you have questions, please email UScontributions@enbridge.com.
* - required fields
|
|
| * First Name: |
|
| * Last Name: |
|
| * Phone: |
Ext: |
| * Email: |
|
| * Organization Name: |
|
| Organization Website: |
|
| * Address: |
|
| |
|
| * City: |
|
| * State: |
|
| * Zip |
|
Is your organization located in a community in which we operate?
|
| What is the primary focus of your organization? |
Is your organization funded by the United Way?
|
Do you know of any Enbridge employees active in your organization?
If Yes, please enter his/her name:
|
Has your organization received funding from Enbridge before?
|
I have read the eligibility requirements:
|
Please describe in detail how the funding would be used in the box below. (This is not a guarantee of funding.)
|
|
| |
| |